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A SAN JOAQUIN COUNTY <br /> c' ENVIRONMENTAL HEALTH DEPARTMENT <br /> j � 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax:(209)464-0158 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: �'� / i 7 , I"'u CITY: 6 C-A /1J <br /> OWNERNAME: C-)r DATE: <br /> APN: �� (0 0 7 T' 3© APPLICATION#: � —/�5 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> .. <br /> - PERCOLATION TEST SKETCH I I I I PERCOLATION TEST SKETCH <br /> 9—§ <br /> 2-IN DIA.PVC PIPE ...........8.. - - <br /> 2-INDIA.PVC PIPE/ E-'- <br /> 4-IN DIA.SOIL BORING 4-INDIA.SOIL BORING <br /> t , <br /> S <br /> I <br /> i 1 i <br /> ........... <br /> _.__.........i.j. <br /> .._,..___......... ..i__..._.. <br /> .t <br /> --4-.._...j— <br /> REFILL HEIGHT I 9 f I ' REFILL HEIGHT — <br /> l. _ <br /> SOIL PROFILE IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# 1 Test Hole# 2 <br /> Parcel: Diameter al" in I Depth: . .3 , Parcel: T Diameter: in I Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> } n <br /> V !• - <br /> 7C <br /> 3n -7 3. �Q <br /> I C CD <br /> ��-co =t. <br /> PERCOLATION RATE: _—_ a.__`aminlin PERCOLATION RATE: min/in <br /> COMMENDED SEPTIC AREA:_ _Y____— RECOMMENDED SEPTIC AREA: <br /> ST PERFORMED BY: "v_ /3 Cc.L Phone: �+�j`� j �: Date <br /> TEST CERTIFIED BY: _ Phone: Z09 3z9-d19 Date to__� <br /> ----- - <br /> OBSERVED BY (RENS):,d4K _ Phone_ _ Date '0�4- v <br /> EHD 42-03 REV 1112109 PERC TEST RATE FORM <br />